WE Local Portland Plenary Panel
Nomination Form

WE Local Portland is now accepting panelist nominations and self-nominations for two plenary panel topics*:

Working Professional(s): How Families and Couples Do It All
The Embodiment of Your Authentic Self…At Work

Participation on plenary panels is a great way to gain visibility for your organization and showcase yourself as a female or male leader. It’s also a great way to get speaking experience in-person and to collaborate with like-minded executives.

If you would like to nominate yourself or someone from your organization for one of the plenary panels (as either a panelist or moderator), please use this form for your submission and submit by Sunday, January 7, 2018.

Participation is limited to four panelists and one moderator per plenary.

*Plenary panel topics are selected by local SWE members participating on the WE Local Portland Host Committee.

Question Title

* 1. Are You...

Nominating yourself as a panelist

Nominating yourself as a moderator

Nominating someone in your organization as a panelist (you will have the opportunity to submit the panelist name on the next page)

Nominating someone in your organization as a moderator (you will have the opportunity to submit the moderator name on the next page)

Question Title

* 2. Nominee/Nominator Contact Information

First Name:

Last Name:

Organization:

Email:

Phone: